BIREN P MODI M.D.
NPI 1730136524
Surgery - Pediatric Surgery in Boston, MA
About Biren P Modi M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BIREN P MODI M.D. (NPI 1730136524) is an individual pediatric surgery provider in Boston, Massachusetts, licensed in Massachusetts (223925) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of Yale University School Of Medicine (2002).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Biren P Modi M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Biren Modi reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Boston, MA 02115
- Reassigned Medicare billing, Massachusetts enrollment
- 109 clinicians in this Medicare group
Boston, MA 02118
- Reassigned Medicare billing, Massachusetts enrollment
- 102 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BOSTON, MA 02115
BOSTON, MA 02115
BOSTON, MA 02115
BOSTON, MA 02115
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Biren Modi's NPI number?
The NPI number for Biren Modi is 1730136524. It was assigned to this individual provider in the NPPES registry on May 27, 2006.
Where is Biren Modi located?
Biren Modi practices at 75 Francis St, Boston, MA 02115. The listed phone number is (617) 732-6861.
What is Biren Modi's specialty?
The primary specialty registered for this NPI is Surgery, specializing in Pediatric Surgery, with taxonomy code 2086S0120X.
Is Biren Modi enrolled in Medicare?
Yes. Biren Modi is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Biren Modi's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Biren Modi reassigns Medicare benefits to 2 organizations: Chmc Surgical Foundation Inc (Boston, MA) and Boston University General Surgical Associates, Inc. (Boston, MA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Biren Modi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Biren Modi accept?
Health plans from Taro Health and WellSense Health Plan list Biren Modi as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Biren Modi was last updated on June 26, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Biren P Modi, M.D. · NPI 1730136524
Pediatric Surgery physician in Boston, Massachusetts. Individual provider, active in the CMS NPPES registry since May 27, 2006.
## Identity
- **NPI:** 1730136524 (Entity type: Individual)
- **Enumerated:** May 27, 2006
- **Primary specialty:** Surgery - Pediatric Surgery · taxonomy 2086S0120X
- **State license:** 223925 (Massachusetts)
- **Sole proprietor:** No
## Practice location
- **Address:** 75 FRANCIS ST, Boston, MA 02115
- **Phone:** (617) 732-6861
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Chmc Surgical Foundation Inc (NPI 1902977515, Boston, MA); Boston University General Surgical Associates, Inc. (NPI 1104865567, Boston, MA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Yale University School Of Medicine, class of 2002
## Record status
- **NPPES last updated:** June 26, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1730136524) · Data from the CMS NPPES public registry.